NPI 1356596803
Kelly Jo Tanner, COTA
Practice location
- Address
- 27240 Haggerty Rd STE E15, Farmington Hills, MI 48331-5716
- Phone
- (248) 488-0350
- Fax
- (248) 488-0355
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1356596803
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Nov 2008
- Record last updated
- 25 Nov 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.